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JORDAN LICURGO ADT
NPI 1487243275
Counselor - Addiction (Substance Use Disorder) in Charlotte Hall, MD

Active since January 15, 2021
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622(301) 997-1300 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Licurgo Adt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LICURGO ADT (NPI 1487243275) is an individual addiction (substance use disorder) provider in Charlotte Hall, Maryland and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1487243275
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJORDAN LICURGOCredential: ADT
Location Address30007 BUSINESS CENTER DRCharlotte Hall, MD 20622-3101
Mailing Address30007 Business Center DrCharlotte Hall, MD 20622-3101 · (301) 997-1300
Phone(301) 997-1300
Sole ProprietorNo
Enumeration DateJanuary 15, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1487243275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
30007 BUSINESS CENTER DR, Charlotte Hall, MD 20622
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DIANE GROVE CSC-AD
Counselor (Addiction (Substance Use Disorder))
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300
ZANETA ARTIS-WHEELER
Counselor (Addiction (Substance Use Disorder))
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300
LIZABETH LENHART-COOKSEY LCSW-C, LCADC
Counselor (Addiction (Substance Use Disorder))
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300
JANET MARIE TRIJO CSAC, NCACII, QMHP-A
Counselor (Addiction (Substance Use Disorder))
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300
ANNI CHRISTENSEN
Counselor (Professional)
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300
PYRAMID WALDEN LLC
Community/Behavioral Health
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300
JOY YELTON LCSW-C
Social Worker (Clinical)
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300
RAKIAH STARR BATTLE
Counselor (Addiction (Substance Use Disorder))
30007 BUSINESS CENTER DR
CHARLOTTE HALL, MD 20622
St. Mary's County (301) 997-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Licurgo's NPI number?

The NPI number for Jordan Licurgo is 1487243275. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Jordan Licurgo located?

Jordan Licurgo practices at 30007 Business Center Dr, Charlotte Hall, MD 20622. The listed phone number is (301) 997-1300.

What is Jordan Licurgo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jordan Licurgo was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.